Provider Demographics
NPI:1730798356
Name:SHARP DORRION, ELEANOR MAE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ELEANOR
Middle Name:MAE
Last Name:SHARP DORRION
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:TIONA
Mailing Address - State:PA
Mailing Address - Zip Code:16352-1021
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:30 PINNACLE DR
Practice Address - Street 2:
Practice Address - City:CLARION
Practice Address - State:PA
Practice Address - Zip Code:16214-3800
Practice Address - Country:US
Practice Address - Phone:814-223-9914
Practice Address - Fax:814-223-9917
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-29
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN526191L163W00000X, 163WE0003X
PASP022362363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No163WE0003XNursing Service ProvidersRegistered NurseEmergency
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASP022362OtherPA NURSING LICENSE
PARN526191LOtherPA NURSING LICENSE